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Caution shouldbe exercised in adding other parkinsonian medications—including selegeline amantadine, COMT inhibitors, anddopamine agonists—because of concerns about exacer-bating confusion and psychosis (visual illusions, halluci-nations, and delusions).

Organizational values and goals are intended to create a culture thatall members understand and adhere to. Rareside effects include systemic hypotension, methe-moglobinemia, and excess generation of nitrogendioxide (a highly reactive oxidant). Clinical review: Efficacy of antimicrobial-impregnatedcatheters in external ventricular drainage—a systematic review and meta-analysis.

The same authors report polyar-ticular infection in 15% of all episodes.

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Demonstrationof contralateral (asymptomatic) joint effusion and signal intensity alterations andenhancement in surrounding soft tissues are associated with transient synovitis [57], whileedema of the adjacent bone is exclusively associated with septic arthritis [58]. When the spleenis enlarged, it presses on the stomach and compresses it. The usual cause of urinary tract infections (UTIs) inwomen is contamination in the area from the proximityof the rectum to the urinary meatus. Major outcomes in high-risk hypertensive patients randomized toangiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic:the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial(ALLHAT). Tothe right ofthe basal lamina are the interdigitating basal processes of theproximal tubule cells. While there is substantial progress devel-oping techniques that can quantify specific oncogene ortumor suppressor gene mutations (see Section “CancerBiomarkers”), it is generally not possible to adequatelyaddress this key question. The oocytes present at birth remain arrested in de-velopment at the first meiotic division (see page 801). Forexample, sudden systemic reaction of a silently growing bone abscess requires a differentsurgical approach than typically used for acute infections.

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